Individual
MS. MERLE BEVERLEY WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11839 193RD ST, SAINT ALBANS, NY 11412-3338
(347) 517-3834
Mailing address
11839 193RD ST PH, SAINT ALBANS, NY 11412-3338
(347) 517-3834
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
529181-01
NY
Other
Enumeration date
11/02/2023
Last updated
11/02/2023
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